Acceptance-Enhanced Behavior Therapy for Trichotillomania in Adolescents

Although several studies have examined the efficacy of Acceptance Enhanced Behavior Therapy (AEBT) for the treatment of trichotillomania (TTM) in adults, data are limited with respect to the treatment of adolescents. Our case series illustrates the use of AEBT for TTM in the treatment of two adolescents. The AEBT protocol (Woods & Twohig, 2008) is a structured treatment manual that was adapted to the individual clients’ needs and clinical progress. Both clients reported clinically significant gains in treatment as determined by at least 2 weeks of abstinence from pulling, and subjective reports of decreased distress and impairment, although one required a booster session due to relapse. AEBT is worth further exploration as a treatment for adolescents with TTM.

►Limited data exist regarding efficacious treatments for youth with trichotillomania (TTM) ►Two youth with TTM received Acceptance-Enhanced Behavior Therapy (AEBT) ►Results showed significant pre-post changes in hair pulling symptoms. ►AEBT may be effectively adapted for use with adolescents.